Max McGee, a chiropractic patient turned advocate who recently
established The Center for Pennsylvania Chiropractic Justice and Education
(CPCJE) has launched an electronic newsletter to inform other supporters
of chiropractic issues in his state.
McGee, who works for the Pennsylvania State System of Higher Education,
was denied by Capital Blue Cross. He subsequently contacted the State
Attorney General's Office, the Pennsylvania Insurance Commissioner and
state legislators regarding the situation. "To date, (I) have
collected thousands of pages of documentation and am still fighting
Capital Blue Cross," he noted in his inaugural newsletter.
When he learned that the IME who reviewed his case for the insurance
company based his decision on the Mercy Guidelines, McGee started
researching the document.
"I was stunned to find out that they were normed on 20-something
males (I am 49), that they were intended for uncomplicated back strains
only, that not even workman's compensation would use them as treatment
guidelines. I learned, too, that every chiropractic association in the
country that attended the consensus conference at Mercy repudiated their
use in my situation, and that the research they relied on was almost
10-years old," he told The Chiropractic Journal at the time.
When he discovered that the Mercy Guidelines were still listed on the
National Guidelines Clearinghouse as current, he contacted NGC
administrators and informed them that the document was outdated. He even
went so far as to contact Sen. Arlen Specter and the U.S. Attorney's
office to lodge a complaint of fraud.
In January 2002, McGee learned that the Mercy Guidelines had been
removed from the NGC as obsolete guidelines.
His willingness, and ability, to make important changes gave him the
impetus to start the advocacy group.
"The bottom line of the whole thing is that chiropractic patients
in Pennsylvania are being discriminated against. They can go to other
health care providers for much more treatment for the same conditions and
insurers will cover it, but not for chiropractic care," he explained.
"That is why I started the CPCJE."
The stated purpose of the e-mailed newsletter is to "notify and
educate you of issues that affect chiropractic in Pennsylvania, whether
they be legislative, political or insurance related."
He added that, "I hope we can build a new coalition together. One
which will further help ensure the justice of chiropractic patients in our
state."
For more information, or to subscribe to the newsletter, contact CPCJE@hotmail.com.